Ministry of Health and Family Welfare
Medical Facilities in Rural Areas
There is some shortfall in the number of medical facilities in position vis-à-vis requirement in the rural areas of the country. However, except for Community Health Centres , there is no shortfall in the numbers Sub Centres & HWC-SCs and Primary Health Centres & HWC-PHCs, in Tripura, as per Rural Health Statistics as on 1st July, 2019. A comparative statement of State/UT-wise position of Sub Centres & HWC-SCs and Primary Health Centres & HWC-PHCs and CHCs in-position against requirement, including in Tripura, is given below:
|
|
S.No.
|
|
State/ UT
|
|
Estimated midyear population for Rural areas
|
|
Estimated midyear Tribal
population in
Rural areas
|
|
Sub Centres and HWC-SCs
|
|
PHCs and HWC-PHCs
|
|
CHCs
|
|
Required
|
|
In Position
|
|
Shortfall
|
|
%
Shorfall
|
|
Required
|
|
In Position
|
|
Shortfall
|
|
%
Shorfall
|
|
Required
|
|
In Position
|
|
Shortfall
|
|
%
Shorfall
|
|
R
|
|
P
|
|
S
|
|
R
|
|
P
|
|
S
|
|
R
|
|
P
|
|
S
|
|
1
|
|
Andhra Pradesh
|
|
34380000
|
|
2266965
|
|
7178
|
|
7437
|
||
||
|
1183
|
|
1145
|
|
38
|
|
3
|
|
295
|
|
140
|
|
155
|
|
53
|
|
2
|
|
Arunachal Pradesh
|
|
1133000
|
|
839207
|
|
338
|
|
385
|
||
||
|
51
|
|
143
|
||
||
|
12
|
|
63
|
||
||
|
3
|
|
Assam
|
|
29208000
|
|
3993696
|
|
6374
|
|
4643
|
|
1731
|
|
27
|
|
1040
|
|
946
|
|
94
|
|
9
|
|
260
|
|
177
|
|
83
|
|
32
|
|
4
|
|
Bihar
|
|
105717000
|
|
1454932
|
|
21337
|
|
9949
|
|
11388
|
|
53
|
|
3548
|
|
1899
|
|
1649
|
|
46
|
|
887
|
|
150
|
|
737
|
|
83
|
|
5
|
|
Chhattisgarh
|
|
21366000
|
|
7879417
|
|
5323
|
|
5205
|
|
118
|
|
2
|
|
843
|
|
792
|
|
51
|
|
6
|
|
210
|
|
170
|
|
40
|
|
19
|
|
6
|
|
Goa
|
|
435000
|
|
69097
|
|
96
|
|
219
|
||
||
|
15
|
|
24
|
||
||
|
3
|
|
5
|
||
||
|
7
|
|
Gujarat
|
|
36235000
|
|
6065876
|
|
8055
|
|
9166
|
||
||
|
1308
|
|
1476
|
||
||
|
327
|
|
362
|
||
||
|
8
|
|
Haryana
|
|
17304000
|
|
0
|
|
3460
|
|
2604
|
|
856
|
|
25
|
|
576
|
|
379
|
|
197
|
|
34
|
|
144
|
|
115
|
|
29
|
|
20
|
|
9
|
|
Himachal Pradesh
|
|
6567000
|
|
398091
|
|
1366
|
|
2089
|
||
||
|
225
|
|
586
|
||
||
|
56
|
|
87
|
||
||
|
10
|
|
Jammu & Kashmir
|
|
9530000
|
|
1472006
|
|
2102
|
|
3025
|
||
||
|
342
|
|
622
|
||
||
|
85
|
|
84
|
|
1
|
|
1
|
|
11
|
|
Jharkhand
|
|
27982000
|
|
8787305
|
|
6768
|
|
3848
|
|
2920
|
|
43
|
|
1079
|
|
298
|
|
781
|
|
72
|
|
269
|
|
171
|
|
98
|
|
36
|
|
12
|
|
Karnataka
|
|
37833000
|
|
3463079
|
|
8028
|
|
9758
|
||
||
|
1318
|
|
2127
|
||
||
|
329
|
|
198
|
|
131
|
|
40
|
|
13
|
|
Kerala
|
|
11511000
|
|
285346
|
|
2340
|
|
5380
|
||
||
|
388
|
|
848
|
||
||
|
97
|
|
227
|
||
||
|
14
|
|
Madhya Pradesh
|
|
58995000
|
|
16025605
|
|
13935
|
|
10226
|
|
3709
|
|
27
|
|
2233
|
|
1199
|
|
1034
|
|
46
|
|
558
|
|
309
|
|
249
|
|
45
|
|
15
|
|
Maharashtra
|
|
64293000
|
|
9406508
|
|
14112
|
|
10668
|
|
3444
|
|
24
|
|
2299
|
|
1828
|
|
471
|
|
20
|
|
574
|
|
364
|
|
210
|
|
37
|
|
16
|
|
Manipur
|
|
2132000
|
|
834313
|
|
537
|
|
490
|
|
47
|
|
9
|
|
84
|
|
90
|
||
||
|
21
|
|
23
|
||
||
|
17
|
|
Meghalaya
|
|
2569000
|
|
2314912
|
|
822
|
|
477
|
|
345
|
|
42
|
|
124
|
|
118
|
|
6
|
|
5
|
|
31
|
|
28
|
|
3
|
|
10
|
|
18
|
|
Mizoram
|
|
547000
|
|
528295
|
|
179
|
|
370
|
||
||
|
27
|
|
59
|
||
||
|
6
|
|
9
|
||
||
|
19
|
|
Nagaland
|
|
1281000
|
|
1189355
|
|
414
|
|
433
|
||
||
|
62
|
|
126
|
||
||
|
15
|
|
21
|
||
||
|
20
|
|
Odisha
|
|
35776000
|
|
9202138
|
|
8382
|
|
6688
|
|
1694
|
|
20
|
|
1345
|
|
1288
|
|
57
|
|
4
|
|
336
|
|
377
|
||
||
|
21
|
|
Punjab
|
|
17814000
|
|
0
|
|
3562
|
|
2950
|
|
612
|
|
17
|
|
593
|
|
416
|
|
177
|
|
30
|
|
148
|
|
89
|
|
59
|
|
40
|
|
22
|
|
Rajasthan
|
|
57353000
|
|
9681034
|
|
12761
|
|
13512
|
||
||
|
2073
|
|
2082
|
||
||
|
518
|
|
571
|
||
||
|
23
|
|
Sikkim
|
|
389000
|
|
142276
|
|
96
|
|
176
|
||
||
|
15
|
|
29
|
||
||
|
3
|
|
2
|
|
1
|
|
33
|
|
24
|
|
Tamil Nadu
|
|
36348000
|
|
644645
|
|
7355
|
|
8713
|
||
||
|
1222
|
|
1422
|
||
||
|
305
|
|
385
|
||
||
|
25
|
|
Telangana
|
|
20535000
|
|
2796018
|
|
4479
|
|
4744
|
||
||
|
731
|
|
636
|
|
95
|
|
13
|
|
182
|
|
85
|
|
97
|
|
53
|
|
26
|
|
Tripura
|
|
2595000
|
|
1069169
|
|
661
|
|
972
|
||
||
|
104
|
|
108
|
||
||
|
26
|
|
18
|
|
8
|
|
31
|
|
27
|
|
Uttarakhand
|
|
7362000
|
|
277051
|
|
1509
|
|
1847
|
||
||
|
250
|
|
257
|
||
||
|
62
|
|
67
|
||
||
|
28
|
|
Uttar Pradesh
|
|
172867000
|
|
1147580
|
|
34726
|
|
20782
|
|
13944
|
|
40
|
|
5781
|
|
2936
|
|
2845
|
|
49
|
|
1445
|
|
679
|
|
766
|
|
53
|
|
29
|
|
West Bengal
|
|
62862000
|
|
4908121
|
|
13226
|
|
10357
|
|
2869
|
|
22
|
|
2177
|
|
908
|
|
1269
|
|
58
|
|
544
|
|
348
|
|
196
|
|
36
|
|
30
|
|
A & N Islands
|
|
230000
|
|
25916
|
|
49
|
|
124
|
||
||
|
8
|
|
22
|
||
||
|
2
|
|
4
|
||
||
|
31
|
|
Chandigarh
|
|
6000
|
|
0
|
|
1
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
N App
|
|
32
|
|
D & N Haveli
|
|
197000
|
|
162390
|
|
61
|
|
71
|
||
||
|
9
|
|
9
|
|
0
|
|
0
|
|
2
|
|
2
|
|
0
|
|
0
|
|
33
|
|
Daman & Diu
|
|
34000
|
|
4288
|
|
7
|
|
23
|
||
||
|
1
|
|
4
|
||
||
|
0
|
|
0
|
|
N App
|
|
N App
|
|
34
|
|
Delhi
|
|
172000
|
|
0
|
|
34
|
|
12
|
|
22
|
|
65
|
|
5
|
|
5
|
|
0
|
|
0
|
|
1
|
|
0
|
|
1
|
|
100
|
|
35
|
|
Lakshadweep
|
|
4000
|
|
3808
|
|
1
|
|
14
|
||
||
|
0
|
|
4
|
||
||
|
0
|
|
3
|
||
||
|
36
|
|
Puducherry
|
|
459000
|
|
0
|
|
91
|
|
54
|
|
37
|
|
41
|
|
15
|
|
24
|
||
||
|
3
|
|
2
|
|
1
|
|
33
|
|
|
|
All India/ Total
|
|
874021000
|
|
97338441
|
|
189765
|
|
157411
|
|
43736
|
|
23
|
|
31074
|
|
24855
|
|
8764
|
|
28
|
|
7756
|
|
5335
|
|
2865
|
|
37
Notes: The requirement is calculated using the prescribed norms on the basis of rural population estimation for mid year for the year 2019. All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states. R: Required; P: In Position; S: Shortfall;: Surplus
N App- Not Applicable
The NRHM interventions are aligned to achieve the objectives of National Health Policy and the progress towards the same is on track. The physical achievements/progress by National Health Mission that includes National Rural Health Mission and National Urban Health Mission as on September, 2019, State/UT-wise, are given below:
Physical Achievement/Progress under National Health Mission|
|
S.N
|
|
State/UTs
|
|
Health Human Resources Augmentation
|
|
Functional FRUs 
|
|
Mobile Medical Units 
|
|
Ambulances 
|
|
Accredited Social Health Activists 
|
|
No of PHCs working on 24X7 basis
|
|
Setting up RogiKalyanSamitis
|
|
Village Health Sanitation and Nutrition
Committees constituted
|
|
1
|
|
Bihar
|
|
13612
|
|
68
|
|
6
|
|
1102
|
|
89437
|
|
496
|
|
2006
|
|
8406
|
|
2
|
|
Chhattisgarh
|
|
6048
|
|
37
|
|
30
|
|
589
|
|
69515
|
|
251
|
|
1003
|
|
19180
|
|
3
|
|
Himachal Pradesh
|
|
820
|
|
16
|
|
3
|
|
323
|
|
32376
|
|
81
|
|
667
|
|
7790
|
|
4
|
|
Jammu & Kashmir
|
|
7492
|
|
55
|
|
11
|
|
331
|
|
12356
|
|
204
|
|
795
|
|
6741
|
|
5
|
|
Jharkhand
|
|
7938
|
|
59
|
|
92
|
|
2140
|
|
41312
|
|
114
|
|
582
|
|
30012
|
|
6
|
|
Madhya Pradesh
|
|
10886
|
|
148
|
|
150
|
|
1358
|
|
77531
|
|
754
|
|
1635
|
|
49567
|
|
7
|
|
Odisha
|
|
9187
|
|
66
|
|
8
|
|
1004
|
|
46566
|
|
116
|
|
1795
|
|
46060
|
|
8
|
|
Rajasthan
|
|
8739
|
|
82
|
|
214
|
|
1353
|
|
64243
|
|
982
|
|
3008
|
|
43440
|
|
9
|
|
Uttar Pradesh
|
|
32681
|
|
334
|
|
144
|
|
4720
|
|
163407
|
|
439
|
|
1710
|
|
71944
|
|
10
|
|
Uttarakhand
|
|
2120
|
|
50
|
|
5
|
|
234
|
|
12212
|
|
87
|
|
330
|
|
15296
|
|
11
|
|
Arunachal Pradesh
|
|
1531
|
|
13
|
|
16
|
|
149
|
|
3880
|
|
64
|
|
228
|
|
3772
|
|
12
|
|
Assam
|
|
15092
|
|
73
|
|
130
|
|
938
|
|
32256
|
|
314
|
|
1226
|
|
27673
|
|
13
|
|
Manipur
|
|
1528
|
|
7
|
|
9
|
|
43
|
|
4009
|
|
66
|
|
126
|
|
3878
|
|
14
|
|
Meghalaya
|
|
1692
|
|
8
|
|
4
|
|
43
|
|
6697
|
|
61
|
|
150
|
|
6249
|
|
15
|
|
Mizoram
|
|
1120
|
|
9
|
|
9
|
|
60
|
|
1170
|
|
41
|
|
85
|
|
830
|
|
16
|
|
Nagaland
|
|
933
|
|
16
|
|
11
|
|
82
|
|
1992
|
|
33
|
|
167
|
|
1346
|
|
17
|
|
Sikkim
|
|
301
|
|
3
|
|
4
|
|
9
|
|
656
|
|
24
|
|
30
|
|
641
|
|
18
|
|
Tripura
|
|
497
|
|
11
|
|
0
|
|
0
|
|
8044
|
|
84
|
|
153
|
|
1038
|
|
19
|
|
Andhra Pradesh
|
|
9522
|
|
240
|
|
52
|
|
439
|
|
42346
|
|
596
|
|
1385
|
|
12940
|
|
20
|
|
Goa
|
|
492
|
|
2
|
|
0
|
|
54
|
|
0
|
|
13
|
|
37
|
|
247
|
|
21
|
|
Gujarat
|
|
11659
|
|
132
|
|
74
|
|
587
|
|
46287
|
|
311
|
|
2201
|
|
17644
|
|
22
|
|
Haryana
|
|
8757
|
|
37
|
|
12
|
|
377
|
|
20115
|
|
248
|
|
640
|
|
6049
|
|
23
|
|
Karnataka
|
|
12773
|
|
163
|
|
70
|
|
911
|
|
43500
|
|
1006
|
|
2930
|
|
26087
|
|
24
|
|
Kerala
|
|
4844
|
|
87
|
|
30
|
|
43
|
|
30113
|
|
171
|
|
1296
|
|
19692
|
|
25
|
|
Maharashtra
|
|
20952
|
|
227
|
|
50
|
|
3611
|
|
70282
|
|
759
|
|
3481
|
|
39788
|
|
26
|
|
Punjab
|
|
5293
|
|
205
|
|
33
|
|
242
|
|
21470
|
|
211
|
|
670
|
|
12982
|
|
27
|
|
Tamil Nadu
|
|
24389
|
|
573
|
|
415
|
|
936
|
|
3965
|
|
1315
|
|
2587
|
|
15015
|
|
28
|
|
Telangana
|
|
13261
|
|
156
|
|
0
|
|
632
|
|
32575
|
|
314
|
|
1086
|
|
10426
|
|
29
|
|
West Bengal
|
|
16152
|
|
143
|
|
49
|
|
3759
|
|
61545
|
|
234
|
|
1251
|
|
46862
|
|
30
|
|
A & N Islands
|
|
326
|
|
1
|
|
0
|
|
1
|
|
422
|
|
20
|
|
29
|
|
275
|
|
31
|
|
Chandigarh
|
|
523
|
|
4
|
|
0
|
|
15
|
|
18
|
|
0
|
|
6
|
|
0
|
|
32
|
|
D & N Haveli
|
|
310
|
|
2
|
|
1
|
|
0
|
|
542
|
|
7
|
|
6
|
|
61
|
|
33
|
|
Daman & Diu
|
|
114
|
|
2
|
|
0
|
|
11
|
|
134
|
|
2
|
|
6
|
|
28
|
|
34
|
|
Delhi
|
|
1670
|
|
32
|
|
2
|
|
200
|
|
6035
|
|
0
|
|
34
|
|
0
|
|
35
|
|
Lakshadweep
|
|
217
|
|
6
|
|
0
|
|
14
|
|
110
|
|
4
|
|
9
|
|
9
|
|
36
|
|
Puducherry
|
|
467
|
|
4
|
|
4
|
|
11
|
|
206
|
|
23
|
|
48
|
|
100
|
|
TOTAL
|
|
253938
|
|
3071
|
|
1638
|
|
26321
|
|
1047324
|
|
9445
|
|
33398
|
|
552068
§ Source: - NHM-MIS reportCumulative figures as on Sept 2019.
Some of the outcomes achieved under NHM
- Decline in the Maternal Mortality Ratio  to 122 during 2015-17 from 130 during 2014-16;
- Decline in the Infant Mortality Rate  to 33 in 2017 as compared to 42 in 2012.
- Decline in the Under 5 Mortality Rate  to 37 in 2017 from 52 in 2012.
- Decline in the Total Fertility Rate  to 2.2 in 2017.
Further various diseases-related health indicators have also shown improvement, such as:
- Annual Parasite Incidence  of Malaria Cases has declined to 0.02 in 2019 from 1.10 in 2011.
- The incidence of Tuberculosis  per 1 lakh population has been reduced to 204 in 2017, from 234 in 2012.
- The target of prevalence of leprosy <1/one lakh population has been achieved nationally.
- At the end of November 2019, 92% Kala-azar endemic blocks have achieved the elimination target of <1 Kala Aazar case per 10,000 population at block level.
- The prevalence of tobacco use has reduced by six percentage points from 34.6%  to 28.6%  as per Global Adult Tobacco Survey ]
The Government has sanctioned setting up of Super Specialty Blocks in some existing Government Medical Colleges/Institutions  in various parts of the country, which may include rural areas, under different phases of Pradhan Mantri Swasthya Suraksha Yojana . Details of Government Medical Colleges taken up for Up-gradation under PMSSY where Super Specialty Blocks have been sanctioned during the last three years including current year, are given below:
Up-gradation of Government Medical CollegesCompleted during 2017-18
|
|
S. No
|
|
Name of the GMC/Institute
|
|
Executing Agency
|
|
Phase
|
|
1
|
|
Government Medical College, Amritsar
|
|
HSCC
|
|
II
Up-gradation of Government Medical Colleges Completed during 2018-19
|
|
S. No
|
|
Name of the GMC/Institute
|
|
Executing Agency
|
|
Phase
|
|
1
|
|
Kolkata Medical College, Kolkata
|
|
HSCC
|
|
I
|
|
2
|
|
Government Medical College, Madurai|
|
HLL
|
|
II
|
|
3
|
|
Siddhartha Medical College, Vijayawada
|
|
HSCC
|
|
III
|
|
4
|
|
Karnataka Institute of Medical Sciences, Hubli|
|
HITES
|
|
III
|
|
5
|
|
Govt. Medical College, Rewa
|
|
HSCC
|
|
III
|
|
6
|
|
Netaji Subhash Chandra Bose Medical College, Jabalpur
|
|
HSCC
|
|
III
|
|
7
|
|
Govt. Medical College, Latur
|
|
HSCC
|
|
III
|
|
8
|
|
MKCG Medical College, Behrampur
|
|
HSCC
|
|
III
|
|
9
|
|
Govt Medical College, Patiala
|
|
HSCC
|
|
III
|
|
10
|
|
SP Medical College, Bikaner
|
|
HSCC
|
|
III
|
|
11
|
|
Govt Medical College, Kota
|
|
HSCC
|
|
III
|
|
12
|
|
Thanjavur Medical College, Thanjavur
|
|
HITES
|
|
III
|
|
13
|
|
Tirunelveli Medical College, Tirunelveli
|
|
HITES
|
|
III
|
|
14
|
|
Govt Medical College, Gorakhpur
|
|
CPWD
|
|
III
|
|
15
|
|
LLRM Medical College, Meerut
|
|
CPWD
|
|
III
List of Up-gradation of GMC Projects completed during 2019-20
|
|
S. No.
|
|
Name of the GMC/Institute
|
|
Executing Agency
|
|
Phase
|
|
-
|
|
GMC, Aurangabad 
|
|
HSCC
|
|
III
|
|
-
|
|
GMC Akola 
|
|
CPWD
|
|
III
|
|
-
|
|
GR Medical College, Gwalior

|
|
HSCC
|
|
III
|
|
-
|
|
GMC Udaipur 
|
|
HSCC
|
|
III
|
|
-
|
|
MLB Medical College, Jhansi 
|
|
HSCC
|
|
III
|
|
-
|
|
IMS-BHU, Varanasi 
|
|
CPWD
|
|
V
|
|
-
|
|
PDU Govt. Medical College, Rajkot 
|
|
HITES
|
|
III
|
|
-
|
|
PGIMS Rohtak 
|
|
HLL
|
|
II
|
|
-
|
|
BS Medical College, Bankura 
|
|
CPWD
|
|
III
|
|
-
|
|
GMC Guwahati 
|
|
HSCC
|
|
III
The Minister of State , Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.